Synvisc or synvisc-one at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$65.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$109.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$2.87 with Aetna of PA vs $113.73 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna of PA | Medicare | $2.87 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $5.02 | ↓ -92% |
| UPMC Health Plan | Managed Medicare | $6.86 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $7.95 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.95 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7.95 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7.95 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.95 | ↓ -88% |
| Aetna | Medicare | $8.19 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $8.21 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $8.35 | ↓ -87% |
| United Healthcare | Medicare | $8.51 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $8.59 | ↓ -87% |
| Cigna | Medicare | $8.59 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.59 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.59 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $9.14 | ↓ -86% |
| UPMC Health Plan | Commercial | $9.78 | ↓ -85% |
| UPMC Health Plan | CHIP | $10.58 | ↓ -84% |
| United Healthcare | All Business | $27.48 | ↓ -58% |
| United Healthcare | Compass Exchange | $27.48 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $31.65 | ↓ -52% |
| Cigna | EBR | $43.60 | ↓ -33% |
| Cigna | Commercial | $43.60 | ↓ -33% |
| Aetna | EBR ASO | $43.60 | ↓ -33% |
| Aetna | EBR FI | $53.41 | ↓ -18% |
| Aetna | Neighborhood Network | $67.58 | ↑ +3% |
| Aetna | Home Depot Employer Group | $69.43 | ↑ +6% |
| Aetna | NBR ASO/FI | $70.85 | ↑ +8% |
| InterGroup | PPO | $70.85 | ↑ +8% |
| Cigna | New Business ASO | $70.85 | ↑ +8% |
| Cigna | NBR ASO/FI | $70.85 | ↑ +8% |
| Coventry/First Health | Commercial | $76.30 | ↑ +17% |
| Preferred Healthcare System | PPO | $87.20 | ↑ +33% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $92.32 | ↑ +41% |
| SelectCare | Commercial | $98.10 | ↑ +50% |
| Private Health Care Systems | PPO | $98.10 | ↑ +50% |
| Health Coalition Partners | Intergroup | $98.10 | ↑ +50% |
| Humana | Commercial | $98.10 | ↑ +50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $113.73 | ↑ +74% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | TRICARE | not published by hospital | — |
Visitor-reported prices
Comments
Synvisc or synvisc-one at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $60.60 | $5.02 – $14.92 |
| UPMC Kane | Kane | $2,958.00 | $7.95 – $32.53 |
| UPMC McKeesport | Mckeesport | $86.40 | $5.02 – $33.61 |
| UPMC Mercy | Pittsburgh | $50.40 | $5.02 – $33.29 |
| UPMC Presbyterian | Pittsburgh | $198.00 | $5.02 – $33.61 |
| UPMC Wellsboro | Wellsboro | $72.00 | $7.95 – $8.75 |
| UPMC Williamsport | Williamsport | $73.20 | $7.95 – $8.51 |
| Uniontown Hospital | Uniontown | $1,427.43 | $6.02 – $14.03 |